Conrad, Susan
Conrad, Susan is an sole proprietor health care provider with primary practice located at 8505 Arlington Blvd Suite 100, Fairfax VA 22031-4621. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Conrad, Susan can be contacted via phone (703) 970-2600.Contact Information
Primary practice address
8505 Arlington Blvd Suite 100
Fairfax VA 22031-4621
Phone: (703) 970-2600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0101246217 | Virginia |
| Other Service Providers / Specialist | 174400000X | A68279 | California |
Profile Details
| NPI number | 1952406852 |
|---|---|
| LBN Legal business name | Conrad, Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Feb 26th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952406852 | NPPES |
| Virginia | Other | 0101246217 | STATE LICENSE |
| Virginia | Other | A68279 | STATE LICENSE |
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